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Restorative material and loading type influence on the biomechanical behavior of wedge shaped cervical lesions

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Abstract

Objectives

To evaluate the influence of restorative materials used on the rehabilitation of MOD cavities and loading type, on biomechanical behavior of wedge-shaped (WS) lesions in endodontically treated maxillary premolars. The investigation was conducted by 3D finite element analysis (FEA) and strain gauge test.

Materials and methods

Six models were generated, with MOD cavities and endodontic treatment: A (MOD amalgam restoration), R (MOD composite restoration), AL (A + cervical lesion (L)), RL, ALR (A + cervical lesion restored with composite (LR)), and RLR. Each model underwent two compressive loading (100N): axial and oblique—45° angle to the long axis on the buccal cusp. The models were analyzed by von Mises criteria. For strain gauge test, 14 standardized maxillary premolars were treated according to the groups described for FEA. Two strain gauges were bonded on each sample submitted to compressive loading in a mechanical testing machine.

Results

A presented higher stress concentration and strain values than R. Oblique loading promoted highest stress concentration and strain rates for all groups. ALR and RLR presented similar stress–strain distribution pattern when compared to A and R.

Conclusion

The interaction between MOD cavity restored with amalgam and oblique loading propitiated the highest stress concentration and strain values on cervical region and WS lesion.

Clinical relevance

The MOD cavity restored with composite resin is a better option than amalgam to improve the biomechanical behavior of wedge-shaped lesion, avoiding dental failure. In addition, the occlusal interferences must be removed, allowing homogeneous contact distribution and preventing WS lesion progression.

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Acknowledgments

The authors thank the NCCL Research Group from Dental School, and CPbio (Integrated Dental Research Laboratory), Federal University of Uberlandia, Brazil, for the structure offered to perform the strain gauge test. This study was supported by grants from the CAPES/MEC Federal Govern of Brazil and CNPq by grant #454453/2014-0.

Conflict of interest

The authors declare no conflict of interest.

Author information

Authors and Affiliations

  1. Operative Dentistry and Dental Materials Department, Federal University of Uberlandia, Rua Republica do Piratini S/N Bloco 4LA Sala 37 Campus Umuarama, Uberlândia, Minas Gerais, 38405-325, Brazil

    Fabrícia Araújo Pereira, Livia Fávaro Zeola, Giovana de Almeida Milito & Bruno Rodrigues Reis

  2. Operative Dentistry and Dental Materials Department, School of Dentistry, Federal University of Uberlandia, Rua Republica do Piratini S/N Bloco 4LA Sala 37 Campus Umuarama, Uberlândia, Minas Gerais, 38405-325, Brazil

    Paulo Vinícius Soares

  3. Department of Dentistry, United Universities of the North of Minas, Avenida Osmane Barbosa, 11111, Montes Claros, Minas Gerais, 39404-549, Brazil

    Rodrigo Dantas Pereira

Authors
  1. Fabrícia Araújo Pereira
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  2. Livia Fávaro Zeola
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  3. Giovana de Almeida Milito
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  4. Bruno Rodrigues Reis
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  5. Rodrigo Dantas Pereira
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  6. Paulo Vinícius Soares
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Corresponding author

Correspondence to Paulo Vinícius Soares.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Video 1

Finite element 3D-Model AL with Oblique Load. The amalgam restoration of MOD cavity was hided for demonstration of internal stress distribution. Observe the high stress concentration inside of MOD cavity and bottom of WS cervical lesion. (AVI 6061 kb)

Video 2

Finite element 3D-Model RL with Oblique Load. The composite resin restoration of MOD cavity was hided for demonstration of internal stress distribution. Observe that the stress concentration inside was reduced, but due Oblique Load there are stresses concentration in WS cervical lesion. (AVI 6458 kb)

Video 3

Finite element 3D-Model AL with Axial Load. The amalgam restoration of MOD cavity was hided for demonstration of internal stress distribution. Observe the reduction of stress concentration in cervical region, but the WS lesion needs of composite resin restoration. (AVI 4046 kb)

Video 4

Finite element 3D-Model RL with Axial Load. The composite resin restoration of MOD cavity was hided for demonstration of internal stress distribution. Observe the lowest stress concentration in cervical region, but the WS lesion needs of composite resin restoration. (AVI 4277 kb)

Video 5

Finite element 3D-Model RLR with Axial Load. The composite resin restoration of MOD cavity and WS cervical lesion were hided for demonstration of internal stress distribution. This model represent the satisfactory clinical situation, with MOD and WS lesion restored and axial load direction. (AVI 3378 kb)

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Pereira, F.A., Zeola, L.F., de Almeida Milito, G. et al. Restorative material and loading type influence on the biomechanical behavior of wedge shaped cervical lesions. Clin Oral Invest 20, 433–441 (2016). https://doi.org/10.1007/s00784-015-1523-3

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  • DOI: https://doi.org/10.1007/s00784-015-1523-3

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